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A <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — � <br /> C Phone Contact for Permitting <br /> .Z a — - r <br /> Owner's Name V! ,�1, �t f�1` U�� Owner Phone Number �s <br /> Owner's Address 1 Owner Phone Number I - 7 a - 6 T O <br /> Fee Simple Titleholder Name- Owner Phone Number <br /> Fee Simpli Titleholder Address <br /> JOB ADDRESS LOT# . <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - NEW CONSTR ADD/ALT SIGN = = DEMOLISH <br /> ,' ED INSTALL ®` REPAIR <br /> PROPOSED USE = SFR 0— COMM = _. OTHER <br /> TYPE OF CONSTRUCTION Q•s BLOCK 0 FRAME = STEEL = <br /> DESCRIPTION•OF WORK % I F�0 <br /> I <br /> BUILDINGsSIZE SQ FOOTAGE HEIGHT <br /> BUILDING $ J VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ P16a <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OA <br /> =GAS En1----ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO q <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> 10 <br /> Address License#' ' <br /> ELECTRICIAN COMPANY <br /> `SIGNATURE REGISTERED `Y'/'N FEE CURRE Y/N <br /> Ad"dress License# <br /> PLUMBER{. COMPANY <br /> SIGNATURE REGISTERED Y/ N , FEE`CURREK <br /> Address License# <br /> MECHANICAL COMPANY—, - <br /> SIGNATURE' REGISTERED Y./ N- FEE CURREN LLLN <br /> Address License# <br /> OTHER:.;, COM.P,ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN. <br /> Address -License#. <br /> ,,RESIDENTIAL Attach_(2);Plot.Plans;(2)Siiits.of Building Plans;,(T)set of Energy.Forms;R=O-W.Permit for'..new..construction; <br /> Minimum`ten(10)'working days-afterSubmittal date: Required-onsite,Construction Plans,Stormwatee Plans_w/Slit Fence installed, <br /> Sanitary Facilities&1 durripster;Site Work Permit for subdivisions/large projects <br /> `COMMERCIAL Attach(2)complete sets of Building Plans plus a Life,Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1;0)working days after-submittal date.-,Required onsite,Construction Plans,:$tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of,.Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill.out application completely. <br /> Owner&"Contractor.sign-,back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent the contractor):or P.owerof Attomey,(forthe-owner-)=would be someone with notarized letter from owner authorizing same <br /> 'OVER,,THE:COUNTER PERMITTING_• "(copylof contract:required)•k <br /> Reroofs if shingles Sewers Servia-Ulig(a,96i;A/C ';,^ 1=ences(Plot/Survey/Footage) <br /> Driveways-Not over CWnterif on'public°r'oad ways::4eeds`ROV1l <br />